A number of patients come into our practice who are wearing shoes that don’t fit properly. When fitting a shoe, the first thing that you want to do is align your big toe joint to a specific part of the shoe. Forget about a number size, because it’s going to go by feel. While standing in the shoe, align that big toe joint to the part of the shoe where it starts to flare out. This is the area of the shoe that bends along with your foot when you walk or run.
You should have about a thumb’s width from the end of the longest toe to the end of the shoe – that will give you the proper length size. The width is to comfort: your foot shouldn’t be flopping in the shoe, but it shouldn’t be so tight that it’s causing pressure and problems. It’s important to have that extra room at the end of the toes, because ill-fitting shoes can cause a lot of pain and discomfort in your feet.
When purchasing shoes, make sure to look later in the day, because your foot may swell a little bit, and you should always find a shoe that fits your foot at its’ largest.